Individual provider Active NPI

Kenneth Capritto, C.O., BOCP

  • Prosthetic/Orthotic Supplier
  • Covington, LA
National Provider Identifier
1275075699
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Practice address
69156 Highway 190 Service Rd
Covington, LA 70433-5140
Phone
(985) 966-3484
NPI assigned
Nov 16, 2016
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

69156 Highway 190 Service Rd
Covington, LA 70433-5140

Mailing address

69156 Highway 190 Service Rd
Covington, LA 70433-5140
Phone (985) 966-3484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pelican Orthotics and Prosthetics Orthotist CurrentSince Mar 28, 2021 Accepting new patients

Locations

69156 Highway 190 Service Rd
Covington, LA 70433
Phone (985) 276-4560

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1275075699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69156 HIGHWAY 190 SERVICE RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335140",
            "telephone_number": "985-966-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69156 HIGHWAY 190 SERVICE RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335140",
            "telephone_number": "985-966-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPRITTO",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "C.O., BOCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-16",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.